Why did EFSA carry out its risk assessment?
Some EU Member States raised concerns about the safety
of caffeine consumption in the general population and in
specific groups, such as adults performing physical activity,
and individuals consuming caffeine together with alcohol or
substances found in energy drinks. The European Commission
responded by asking EFSA to assess the safety of caffeine.
What does the assessment cover?
EFSA’s Scientific Opinion looks at the possible adverse health
effects of caffeine consumption from all dietary sources,
including food supplements:
▶ in the general healthy population and in sub-groups such
as children, adolescents, adults, the elderly, pregnant and
lactating women, and people performing physical exercise;
▶ in combination with other substances that are present in
“energy drinks” (D-glucurono-γ-lactone and taurine),
alcohol, or p-synephrine.
It does not consider the possible adverse effects of caffeine:
▶ in groups of the population affected by a disease or medical
condition;
▶ in combination with medicines and/or drugs of abuse;
▶ in combination with alcohol doses which, by themselves,
pose a risk to health (e.g. during pregnancy, binge drinking).
How much caffeine do we consume?
Average daily intakes vary among Member States, but are in the
following ranges:
Very elderly (75 years and above): 22- 417mg
Elderly (65-75 years): 23-362mg
Adults (18-65 years): 37-319mg
Adolescents (10-18 years): 0.4-1.4mg/kg bw
Children (3-10 years): 0.2-2.0mg/kg bw
Toddlers (12-36 months): 0-2.1mg/kg bw
In most surveys covered by EFSA’s Food Consumption Database
(see panel overleaf), coffee was the predominant source of
caffeine for adults, contributing between 40% and 94% of
total intake. In Ireland and the United Kingdom, tea was the
main source, contributing 59% and 57% of total caffeine intake
respectively.
There are large differences among countries regarding the
contribution of different food sources to total caffeine intake
among adolescents. Chocolate was the main contributor in six
surveys, coffee in four surveys, cola beverages in three, and tea
in two. In most countries chocolate (which also includes cocoa
drinks) was the predominant source of caffeine for children aged
3 to 10 years, followed by tea and cola drinks.
One reason for the differences in consumption levels – other
than cultural habits – is the variable concentrations of caffeine
found in some food products. Concentrations in coffee
beverages depend on the manufacturing process, the type of
coffee beans used, and the type of preparation (e.g. drip coffee,
espresso). The levels found in cocoa-based beverages depend
on the amount and type of cocoa present in different brands.